Child Health Profile March 2017

Southampton

This profile provides a snapshot of child health in this area. It is designed to help local government and health services improve the health and wellbeing of children and tackle health inequalities.

The child population in this area Key findings Local Region Children and young people under the age of 20 years make up 23.5% of the population of Live births (2015) 3,305 102,703 664,399 Southampton. 33.7% of school children are from Children aged 0 to 4 years 16,400 546,400 3,434,700 a minority ethnic group. (2015) 6.6% 6.1% 6.3% The health and wellbeing of children in Children aged 0 to 19 years 58,600 2,132,500 13,005,700 Southampton is generally worse than the (2015) 23.5% 23.8% 23.7% England average. Infant and child mortality rates are similar to the England average. Children aged 0 to 19 years 65,500 2,304,700 14,002,600 in 2025 (projected) 24.7% 23.8% 23.8% The level of child poverty is worse than the England average with 23.4% of children aged School children from minority 8,797 240,900 2,032,064 under 16 years living in poverty. The rate of ethnic groups (2016) 33.7% 22.5% 30.0% family homelessness is better than the England Children living in poverty average. 23.4% 14.7% 20.1% aged under 16 years (2014) 9.8% of children aged 4-5 years and 22.5% of Life expectancy at Boys 78.3 80.5 79.5 children aged 10-11 years are classified as birth (2013-2015) Girls 82.9 84.0 83.1 obese.

Children living in poverty Local areas should aim to have at least 95% of Map of the South East, with Southampton outlined, showing the children immunised in order to give protection relative levels of children living in poverty. both to the individual child and the overall population. For children aged 2, the MMR immunisation rate is 94.9% and the diphtheria, tetanus, polio, pertussis and Hib immunisation rate is 97.1%.

In 2014/15, 33.7% of five year olds had one or more decayed, filled or missing teeth. This was higher than the England average. The recent hospital admission rate for dental caries in children aged under 5 years is lower than the England average.

Contains data You may re-use this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence/version/3/ S Southampton - March 2017 [email protected] | www.gov.uk/phe | https://fingertips.phe.org.uk/ o Southampton Child Health Profile March 2017

Childhood obesity These charts show the percentage of children who have excess weight (obese or overweight) in Reception (aged 4-5 years) and Year 6 (aged 10-11 years). They compare Southampton with its statistical neighbours, and the England and regional averages. Compared with the England average, this area has a similar percentage of children in Reception (22.2%) and a worse percentage in Year 6 (36.7%) who have excess weight. Obese All children with excess weight, some of whom are obese Children aged 4-5 years who have excess weight, 2015/16 (percentage)

England

Southampton

Portsmouth 0 10 20 30 40 50 Children aged 10-11 years who have excess weight, 2015/16 (percentage)

England

Southampton

Portsmouth Peterborough Plymouth Derby 0 10 20 30 40 50 Note: This analysis uses the 85th and 95th centiles of the British 1990 growth reference (UK90) for BMI to classify children as overweight and obese. I indicates 95% confidence interval.

Young people and alcohol Young people's mental health Nationally, the rate of young people aged under 18 being Nationally, the rate of young people aged under 18 being admitted to hospital because they have a condition wholly admitted to hospital as a result of self-harm is increasing. related to alcohol is decreasing, and this is also the case in There is no significant trend in Southampton. The admission Southampton. The admission rate in the latest period is rate in the latest period is higher than the England average. higher than the England average. Information about admissions in 2015/16 is on page 4. Nationally, levels of self-harm are higher among young women than young men.

Young people aged under 18 admitted to hospital Young people aged 10 to 24 years admitted to with alcohol specific conditions (rate per 100,000 hospital as a result of self-harm (rate per 100,000 population aged 0-17 years) population aged 10-24 years) 1,400 160 1,200 120 1,000 800 80 600 400 40 200 0 0 2007/08 - 2008/09 - 2009/10 - 2010/11 - 2011/12 - 2012/13 - 10/11-12/13 11/12-13/14 12/13-14/15 13/14-15/16 09/10 10/11 11/12 12/13 13/14 14/15 England Southampton England Southampton

Southampton - March 2017 [email protected] | www.gov.uk/phe | https://fingertips.phe.org.uk/ Southampton Child Health Profile March 2017

These charts compare Southampton with its statistical neighbours, and the England and regional averages.

Teenage conceptions in girls aged under 18 Chlamydia detection, 2015 (rate per 100,000 years, 2014 (rate per 1,000 female population young people aged 15-24 years) aged 15-17 years)

England England

South East South East

Southampton Southampton

Portsmouth Portsmouth Peterborough Peterborough Plymouth Plymouth Derby Derby 0 10 20 30 40 50 0 2,000 4,000 6,000 In 2014, approximately 29 girls aged under 18 Chlamydia screening is recommended for all sexually conceived for every 1,000 women aged 15-17 years in active 15-24 year olds. Increasing detection rates this area. This is higher than the regional average indicates better targeting of screening activity; it is not a (approximately 19 per 1,000). The area has a higher measure of prevalence. Areas should work towards a teenage conception rate compared with the England detection rate of at least 2,300 per 100,000 population. In average (approximately 23 per 1,000). 2015, the detection rate in this area was 2,402 which is better than the minimum recommended rate. The shaded area from 1,900 shows the range of values approaching the minimum recommended rate of 2,300 (the black line).

Measles, mumps and rubella (MMR) Breastfeeding at 6 to 8 weeks, 2015/16 vaccination coverage by age 2 years, 2015/16 (percentage of infants due 6 to 8 week checks) (percentage of eligible children)

England England

South East South East

Southampton Southampton

Portsmouth Portsmouth Peterborough Peterborough Plymouth Plymouth Derby Derby 0 20 40 60 80 100 0 20 40 60 80 100 In this area 79.7% of babies received a six to eight Less than 95% (the minimum recommended coverage week review by a health visitor before they turned eight level) of children have received their first dose of weeks. No breastfeeding at six to eight weeks data is immunisation by the age of two in this area (94.9%). available. By the age of five, only 91.4% of children have received their second dose of MMR immunisation. In the South East, there were 2 laboratory confirmed cases of measles in young people aged 19 and under in 2015.

The shaded area from 90% shows the range of values approaching the minimum recommended coverage of 95% (the black line). Note: Where data is not available or figures have been suppressed, no bar will appear in the chart for that area.

Southampton - March 2017 [email protected] | www.gov.uk/phe | https://fingertips.phe.org.uk/ Southampton Child Health Profile March 2017

The chart below shows how children's health and wellbeing in this area compares with the rest of England. The local result for each indicator is shown as a circle, against the range of results for England shown as a grey bar. The line at the centre of the chart shows the England average.

1 No significant change Not significantly different from the England average hi Increasing / decreasing and getting better Significantly better than England average England average Regional average hi Increasing / decreasing and getting worse Significantly worse than England average 25th 75th Trend cannot be calculated  percentile percentile Local no. Local Eng. Eng. Eng. Indicator per year* value ave. worst best 1 Infant mortality 1 10 3.1 3.9 7.9 2.0

mortality 7 14.5 11.9 20.7 5.3 Premature Premature 2 Child mortality rate (1-17 years)  3 MMR vaccination for one dose (2 years) ≥95% <90% h 2,950 94.9 91.9 69.3 97.7

4 Dtap / IPV / Hib vaccination (2 years) 90% to 95% 1 3,021 97.1 95.2 73.0 99.2 Health Health

protection 5 Children in care immunisations i 330 76.7 87.2 26.7 100.0 6 Children achieving a good level of development at the end of reception  2,229 69.8 69.3 59.7 78.7 7 GCSEs achieved (5 A*-C inc. English and maths)  1,123 53.0 57.8 44.8 74.6 8 GCSEs achieved (5 A*-C inc. English and maths) for children in care  - - 13.8 6.4 34.6 9 16-18 year olds not in education, employment or training i 320 4.7 4.2 7.9 1.5 10 First time entrants to the youth justice system i 91 491.4 368.6 821.9 126.6

11 Children in low income families (under 16 years) i 10,040 23.4 20.1 39.2 7.0 of ill of health

12 Family homelessness 1 137 1.4 1.9 10.0 0.1 Widerdeterminants 13 Children in care h 590 120 60 164 21 14 Children killed and seriously injured (KSI) on England’s roads  14 31.3 17.0 49.3 1.4 15 Low birth weight of term babies 1 77 2.5 2.8 4.8 1.3 16 Obese children (4-5 years) 1 309 9.8 9.3 14.7 5.1 17 Obese children (10-11 years) h 508 22.5 19.8 28.5 11.0 18 Children with one or more decayed, missing or filled teeth  - 33.7 24.8 56.1 14.1 19 Hospital admissions for dental caries (0-4 years)  19 114.4 241.4 1,143.2 9.2 Health 20 Under 18 conceptions i 102 29.0 22.8 42.4 8.4 improvement 21 Teenage mothers i 31 1.0 0.9 2.2 0.2 22 Persons under 18 admitted to hospital for alcohol-specific conditions i 37 78.0 36.6 92.9 10.9 23 Hospital admissions due to substance misuse (15-24 years)  46 95.7 95.4 345.3 34.1 24 Smoking status at time of delivery 1 474 14.3 10.6 26.0 1.8 25 Breastfeeding initiation 1 2,437 73.2 74.3 47.2 92.9 26 Breastfeeding prevalence at 6-8 weeks after birth  - - 43.2 18.0 76.5 27 A&E attendances (0-4 years) h 9,881 600.8 587.9 1,836.1 335.0 28 Hospital admissions caused by injuries in children (0-14 years) i 468 111.2 104.2 207.4 53.5 29 Hospital admissions caused by injuries in young people (15-24 years) 816 163.3 134.1 280.2 72.0

Prevention i of ill of health 30 Hospital admissions for asthma (under 19 years) 1 130 247.6 202.4 591.6 84.3 31 Hospital admissions for mental health conditions i 54 109.9 85.9 179.8 33.8 32 Hospital admissions as a result of self-harm (10-24 years) 1 361 558.8 430.5 1,444.7 102.5 *Numbers in italics are calculated by dividing the total number for the three year period by three to give an average figure Notes and definitions Where data is not available or figures have been suppressed, this is indicated by a dash in the appropriate box 1 Mortality rate per 1,000 live births (aged under 1 year), 11 % of children aged under 16 years living in families in 21 % of delivery episodes where the mother is aged less 2013-2015 receipt of out of work benefits or tax credits where their than 18 years, 2015/16 2 Directly standardised rate per 100,000 children aged reported income is less than 60% median income, 2014 22 Persons admitted to hospital due to alcohol-specific 1-17 years, 2013-2015 12 Statutory homeless households with dependent conditions – under 18 year olds, crude rate per 100,000 3 % children immunised against measles, mumps and children or pregnant women per 1,000 households, population, 2012/13-2014/15 rubella (first dose by age 2 years), 2015/16 2015/16 23 Directly standardised rate per 100,000 (aged 15-24 years) for hospital admissions for substance misuse, 4 % children completing a course of immunisation 13 Rate of children looked after at 31 March per 10,000 2013/14-2015/16 against diphtheria, tetanus, polio, pertussis and Hib by population aged under 18 years, 2016 age 2 years, 2015/16 14 Crude rate of children aged 0-15 years who were 24 % of mothers smoking at time of delivery, 2015/16 5 % children in care with up-to-date immunisations, 2016 killed or seriously injured in road traffic accidents per 25 % of mothers initiating breastfeeding, 2014/15 6 % children achieving a good level of development 100,000 population, 2013-2015 26 % of mothers breastfeeding at 6-8 weeks, 2015/16 within Early Years Foundation Stage Profile, 2015/16 15 Percentage of live-born babies, born at term, weighing 27 Crude rate per 1,000 (aged 0-4 years) of A&E 7 % pupils achieving 5 or more GCSEs or equivalent less than 2,500 grams, 2015 attendances, 2015/16 including maths and English, 2015/16 16 % school children in Reception year classified as 28 Crude rate per 10,000 (aged 0-14 years) for 8 % children looked after achieving 5 or more GCSEs or obese, 2015/16 emergency hospital admissions following injury, 2015/16 equivalent including maths and English, 2015 17 % school children in Year 6 classified as obese, 29 Crude rate per 10,000 (aged 15-24 years) for 9 % not in education, employment or training as a 2015/16 emergency hospital admissions following injury, 2015/16 proportion of total 16-18 year olds known to local 18 % children aged 5 years with one or more decayed, 30 Crude rate per 100,000 (aged 0-18 years) for authority, 2015 missing or filled teeth, 2014/15 emergency hospital admissions for asthma, 2015/16 10 Rate per 100,000 of 10-17 year olds receiving their 19 Crude rate per 100,000 (aged 0-4 years) for hospital 31 Crude rate per 100,000 (aged 0-17 years) for hospital first reprimand, warning or conviction, 2015 admissions for dental caries, 2013/14-2015/16 admissions for mental health, 2015/16 20 Under 18 conception rate per 1,000 females aged 32 Directly standardised rate per 100,000 (aged 10-24 15-17 years, 2014 years) for hospital admissions for self-harm, 2015/16

Southampton - March 2017 [email protected] | www.gov.uk/phe | https://fingertips.phe.org.uk/